Right Ventricular Failure in Patients with Left Ventricular Assist Devices

Jonathan D. Rich*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations

Abstract

Right ventricular (RV) failure that develops following LVAD placement is an important and challenging complication that occurs in approximately 15-25% of LVAD patients. Thus, a thorough evaluation that identifies pre-operative clinical predictors of RV failure is crucial to aid in the appropriate treatment and prognostication. Following LVAD implant, three major physiologic changes invariably occur that will influence RV function: an increase in RV preload, a decrease in RV afterload, and an alteration in RV contractility. Management strategies exist to minimize the likelihood and severity of RV failure post-LVAD. Further studies are needed that also focus on intermediate and late post-LVAD RV failure.

Original languageEnglish (US)
Pages (from-to)291-302
Number of pages12
JournalCardiology Clinics
Volume30
Issue number2
DOIs
StatePublished - May 1 2012

Keywords

  • Heart failure
  • Left ventricular assist device
  • Mechanical circulatory support
  • Right ventricle
  • Treatment
  • Ventricular assist device

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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